Individual
SHANETHA CALLIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
(225) 926-9708
Mailing address
8732 FOX GATE DR, BATON ROUGE, LA 70809-5238
(225) 405-9063
(225) 926-9708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10062
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326419797
—
LA
Enumeration date
10/12/2015
Last updated
10/15/2024
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